DEVICE: 3D SCANNER TPR Option (B01612300004Z0)

Device Identifier (DI) Information

3D SCANNER TPR Option
12300004Z
Not in Commercial Distribution
12300004Z
SUN NUCLEAR CORP.
B01612300004Z0
HIBCC
June 18, 2019
1
122240021 *Terms of Use
Accessory to the 1230 3D SCANNER.
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Device Characteristics

Labeling does not contain MRI Safety Information
No
No
No
Yes
No
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No
No

GMDN

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GMDN© Term Code, Names and Definitions (*Terms of Use): GMDN® is a registered trademark of The GMDN Agency. All rights reserved. Used under licence from The GMDN Agency Ltd.

GMDN Term Code GMDN Term Name GMDN Term Definition GMDN Term Status [?] Implantable?
38399 Accelerator system quality assurance device
An instrument specifically designed to be used to check the calibration and performance of linear and non-linear medical accelerator systems used for radiation therapy applications, for quality assurance (QA) purposes. It includes a variety of instruments used to measure parameters associated with particle and photon beam production, beam quality, and other system performance parameters.
Active false
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FDA Product Code

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Product Code Product Code Name
IYE Accelerator, Linear, Medical
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FDA Premarket Submission

FDA Premarket Submission Number [?] Supplement Number [?]
K101992 000
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Sterilization

No
No
Sterilization Method [?]
No Sterilization Methods Found
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Storage and Handling

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Storage and Handling
Special Storage Condition, Specify: Do not store the instrument in the treatment room.
Special Storage Condition, Specify: Never leave the instrument on the couch during delivery system warm up.
Special Storage Condition, Specify: Never expose the 3D TPR electronic circuits to the direct radiation beam.
Special Storage Condition, Specify: Store 3D TPR in an indoor, climate-controlled environment where it will not be irradiated by the direct beam and where scattered radiation will be kept at a minimum.
Special Storage Condition, Specify: Ensure that all 3D TPR parts, including cable and connector, are clean and dry before placing in storage case. Dry with a soft cloth. Never use abrasive cleaners.
Special Storage Condition, Specify: If connector is accidentally immersed in water, allow to dry completely before connecting to 3D SCANNER.
Special Storage Condition, Specify: Do not keep 3D TPR in water for longer than 24 hours.
Special Storage Condition, Specify: For transport and storage within the facility, 3D TPR can remain attached to the Water Tank, but it is recommended to store 3D TPR in its case when not in use.
Storage Environment Temperature: between 10 and 40 Degrees Celsius
Storage Environment Humidity: between 10 and 90 Percent (%) Relative Humidity
Storage Environment Atmospheric Pressure: between 57.2 and 106 KiloPascal
Handling Environment Temperature: between -30 and 50 Degrees Celsius
Handling Environment Humidity: between 10 and 90 Percent (%) Relative Humidity
Handling Environment Atmospheric Pressure: between 18.7 and 106 KiloPascal
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Clinically Relevant Size

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Size Type Text
No Device Sizes
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Device Record Status

7745924d-bdd5-4773-bd14-7e5cdcbfadd1
June 18, 2019
5
January 14, 2017
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Alternative and Additional Identifiers Additional Identifiers

Package DI

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Package DI Number Quantity per Package Contains DI Package Package Discontinue Date Package Status Package Type
No Package DIs found
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Secondary DI

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Issuing Agency [?] Secondary DI Number
No Secondary DIs found
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Unit of Use DI

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Unit of Use DI Number: No Unit of Use DI Numbers Found CLOSE

Direct Marking (DM)

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No
No
None
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Production Identifier(s) in UDI

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Yes
Yes
No
Yes
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Customer Contact

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No Customer Contact currently defined
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